Covered non-face-to-face services to promote behavioral health integration: Inter-Professional Services (99446-99449 and 99451, 99452); Behavioral Health Care coordination (99484); Psychiatric Collaborative Care management (99492, 99493 and 99494). No pre-authorization required. Medical records may be requested to ensure CMS documentation requirements are being met.
Injection to peripheral nerve branch (CPT 64450) is covered without pre-authorization.
For questions about QualChoice Medical Coverage Policies, please contact your Provider Relations Representative at 800.235.7111 or 501.228.7111, ext. 7004, Monday through Friday, 8:00 a.m. to 5:00 p.m.